原发性开角型青光眼非穿透小梁手术患者深层巩膜瓣及小梁膜的病.PDFVIP

·462 · 2003 8 39 8　Chin J Ophthalmol, August 2003, Vol 39, o.8 ·· 孙兴怀　王艳　孟樊荣 　　【】　　(POAG), POAG 。　POAG 12 (18 ), 、。 　:, Schlemm 。:Schlemm ; , , , 。 :Schlemm ;Schlemm , () , , , ; , , , 。 , 。　Schlemm , 。POAG , Schlemm 。 【】　;　, ;　;　;　 Pathological study on the deep scleral flap and external trabecular membrane obtained from non- penetrating trabecular surgery 　　SUN Xing -huai, WANG Yan, MENG Fan-rong .Department of Ophthalmology , The Eye and ENT Hopital of Fudan univer ity , Shanghai 200031, China Corresponding author:SU Xing-huai, Email:sunxinghuai@163.com 【Abstract】　Objective　To study the anatomic background of non-penetrating trabecular surgery (PTS) and to explore the resistant site of aqueousoutflow in primary open-angle glaucoma.Methods PTS was performed in 18 eyes of 12 cases (10 males, 2 females)with POAG.The age of these patients ranged from 42 to 65 years old.The deep scleral flap and external trabecular membranewere obtained during the surgical procedure andwere examined by light microscope, scanning electronmicroscope (SEM)and transmission electronmicroscope (TEM). Results　The beginning part of the collection canal in the outer wall of the Schlemm′s canalwere very narrow, and there was electron dense material (so-called plaques)around the outer wall of the Schlemm′s canal.The external trabecular membrane consisted of adjacent trabecular meshwork and part of the corneoscleral trabecular meshwork. The number of the trabecular cells was decreased and a large amount of electron dense materialswere deposited in the adjacent trabecular meshwork.The holes of the corneoscleral trabecular meshwork was small and irregular.In the corneoscleral trabecular meshwork, the trabecular lamellaewas thicken, the amount of elastic-like fibers was increased and the trabecular cells, especially the nucleus, were enlar